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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306004534
Report Date: 04/21/2022
Date Signed: 04/21/2022 04:30:31 PM

Document Has Been Signed on 04/21/2022 04:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:VOCATIONAL INNOVATIONS - ANAHEIMFACILITY NUMBER:
306004534
ADMINISTRATOR:RIVA HUITRONFACILITY TYPE:
775
ADDRESS:2557 WOODLAND DRIVE, W.TELEPHONE:
(714) 527-4888
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY: 75CENSUS: 0DATE:
04/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:Julian HernandezTIME COMPLETED:
04:45 PM
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Licensing Program Analysts (LPA) Celine De Perio and Joseph Alejandre conducted an unannounced visit to complete the required annual inspection (mitigation). LPAs were greeted and granted entry by Program Director Julian Hernandez. LPAs explained reason for visit. LPAs and Program Director toured the facility. LPAs observed COVID-19 postings throughout the facility. LPAs observed the "See Something Say Something" poster in the large activity room, LPAs observed all three bathrooms were clean and operational. LPAs observed that both activity rooms had activity supplies for arts and crafts and games. There is an outdoor area with a basketball hoop for clients to do outdoor activities. LPAs observed that the kitchen was clean and both refrigerators and microwaves are clean and operational. LPAs observed First-Aid Kit mounted on wall and that cleaning supplies are locked and kept in a closet. No obstacles or hazards were observed inside or outside of the facility. All fire extinguishers are fully charged. Facility Mitigation Plan was approved on 05/10/2021. No deficiencies observed during this visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report was provided to Program Director.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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